Управление на общинските болници и мениджмънт на човешките ресурси в условия на демографска криза
HR Management and Management of Municipal Hospitals Conditioned by Demographic Crisis

Summary/Abstract: The development model of Bulgarian health system particularly over the last decade can be characterized by population decrease, reduced number of working age population, steep reduction of physicians and medical specialists while the number of health establishments, especially hospitals and hospital beds are increasing, patient numbers are increasing, financial means, dedicated to health are increasing annually and sick leave days are also increasing. The changed populations structure and demographic tendencies have strong impact on economic, health, social and educational system in Bulgarian society. Research goal and objectives are to study social risks, which have the highest influence on municipal health system and human resources. Material and methods: Units of research are physicians and medical specialists in 10 municipal hospitals. Participating hospitals were chosen on the principle of regional representation and size of municipality. Valid questionnaires were received from: 112- Management and 183- Physicians and Nurses. Results and Discussion: The survey result analysis suggests that there are the following tendencies: It is essential that healthcare is seen as a service, managed by market principles with social elements and not vice-versa. A serious challenge is the remuneration system used in hospitals- in order to be successful, the system should be correlated to results and justice as adopted by hospital staff. The negative impact of increased mobility of health staff is reflected by reduced opportunities for developing in-depth competencies and career growth.

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